Obstetrics CONTENTS Obstetrics Opening the record and consultations

Obstetrics

CONTENTS Ø Obstetrics Ø Opening the record and consultations Ø Pregnancy monitoring Ø Monitoring patients at home Ø Delivery room Ø Postpartum Ø Family planning monitoring Ø Gynaecology admissions

Opening the record and consultations

SC STARTUP obstetrics

SC PATIENT SELECTION SEARCH using: - Date of birth or - The UPI or - The first letters of the last name

SC RECORD SELECTION Opening the record Choice of record type when creating it

SC RECORD SELECTION

SC General appearance Information pane Tabs Input box

SC Top ribbon Alerts Civil status of the patient Automated clinical data The top ribbon gives permanent access to clinical data

SC Administrative tab Information about the mother Information about the father

SC HISTORY tab (1) – Medical HISTORY sub-tab Intuitive search based on the first letters Access to the list via the Access to the list with a right click Important data in the record highlighted icon:

SC HISTORY tab (2) – Medical HISTORY sub-tab Allergy alert Access to the list with a right click Connection to the Reference Centre for Teratogens

SC HISTORY tab (3) – Obstetric HISTORY History summary table Automated calculation areas Window to choose type of history Window to enter history

SC Pregnancy tab - ‘Start of pregnancy’ sub-tab Automated calculations: LMP, due date, date of maternity leave

SC Pregnancy monitoring Buttons giving access to administrative documents Pregnancy summary Enter what to do Consultation text input box

Pregnancy monitoring: SC example of follow-up consultation Questioning Vitals To change foetus in a multiple pregnancy Clinical examination Diagnosis Discussion Lab work Prescription input To print out follow-up letter

SC Pregnancy monitoring: example of follow-up consultation - Entering a prescription - To create a new prescription To print the order for further tests To sign the prescription To print the drug prescription Name of doctor in charge (if prescribed by Foundation Doctor) Non-LTC medication order column Column to order further tests Column to order LTC drugs

SC Pregnancy monitoring: example of follow-up consultation - Entering a prescription Medication order window To enter a treatment using favourites To enter a treatment

SC Pregnancy monitoring: example of follow-up consultation - Printing a prescription Prescription signature box Prescription print buttons

Pregnancy monitoring: Example of follow-up consultation - Creating the ‘follow-up letter’ SC Follow-up letter Window to select letter recipients Print button

SC Pregnancy monitoring: Example of follow-up consultation - Creating the ‘follow-up letter’ List of consultation templates Emergency consultation Hospitalization sheet Therapeutic abortion consultation

H Hospitalization

H Monitoring patients at home The patient can be monitored at home for a defined period with the Ambucare web application Ambucare access tab The forms exchanged can contain various types of questions and are fully configurable

H Ambucare: medical team area Each reason for monitoring is associated with a predefined or free schedule for sending forms to the patient To select reason(s) for monitoring To generate the monitoring report in PDF format To enter monitoring start and end dates Link to generate monitoring taking into account the data entered

H Ambucare: generating monitoring Once the monitoring is generated, the timeline shows the form sending schedule Form (awaiting an answer) sent to the patient's area and notification sent by email and/or text message Scheduled forms

H Ambucare: patient area The patient has an account generated manually in the medical area (this can be automated) The patient accesses the form by clicking on this ribbon The patient can contact the medical team at any time using this button The medical team can send information to the patient using this pane

H Ambucare: filling in a form A patient who is doing well does not need to complete the form

H Ambucare: receiving answers Alerts are received in the medical team area but also by text message and/or email. The form answer status is indicated in the tracking timeline by the relevant colour

H Ambucare: processing answers 1/2 Each answer is visible and alerts can be processed by the medical team A phone call can be made to the patient. Calls are tracked.

H Ambucare: processing answers 2/2 The different interactions between the patient and medical team are tracked.

SC Pregnancy monitoring: pregnancy summary Pregnancy summary Summary / What to do

SC Ultrasounds

DR Delivery room

DR ROOM SAFETY CHECKLIST ‘Identity monitoring’ and ‘equipment’ checklist

DR Delivery Chart pane Clinical examination data Free text input box

DR Delivery The labour monitoring information is entered via the buttons above the chart

Labour monitoring data input DR Exam time Vitals Uterine contractions Clinical examination Rupture of membranes: colour of amniotic fluid Foetal heart rate analysis Emergency call Urine output Other treatments

Entering the delivery process data DR Vaginal delivery Urine output Emergency call C-section Birth Placental delivery

DR Drug administration Administration of a fixed -duration treatment Administration of a continuous treatment

Pregnancy summary DR The duration of the different stages of labour is calculated automatically Start of labour Labour process Delivery methods Placental delivery methods

DR Pregnancy summary The delivery method AND the outcome must be entered

DR neonate DR Apgar score Measurements Acid-base status Samples Prophylactic measures EONI score

DR Clinical examination/resuscitation Clinical examination Discharge methods Treatments administered to neonate Resuscitation To enter staff meeting instructions

DR Generating reports Generating letters Buttons to generate reports Display of report

DR ANAESTHESIA RECORD

DR Departure from delivery room Patient departure Patient transfer to another unit

PP Postpartum

PP Postpartum: Maternal monitoring Button to bring up the different monitoring sheets Postnatal care at home Early discharge Staff meeting instructions To generate the 8 th day certificate